Application For Plan Of Employer - Disability And-Or Family Leave {DB-800} | Pdf Fpdf Docx | New York

 New York   Workers Compensation 
Application For Plan Of Employer - Disability And-Or Family Leave {DB-800} | Pdf Fpdf Docx | New York

Last updated: 1/26/2024

Application For Plan Of Employer - Disability And-Or Family Leave {DB-800}

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Description

DB-800 - APPLICATION FOR APPROVAL OF PLAN OF EMPLOYER PROVIDING DISABILITY AND/OR PAID FAMILY LEAVE BENEFITS. This form is used in the New York State Workers' Compensation Board when a Self-Insured Employer wants to provide Disability and/or Paid Family Leave Benefits to a Class of employees and/or offers a shorter waiting period, or a longer duration than statue requires. www.FormsWorkflow.com

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